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. 2021 Dec;13(1_suppl):846S-852S.
doi: 10.1177/1947603520924775. Epub 2020 May 25.

Return to Sport following Isolated Lateral Opening Wedge Distal Femoral Osteotomy

Avinesh Agarwalla  1 , Joseph N Liu  2 , Grant H Garcia  3 , Anirudh K Gowd  4 , Richard N Puzzitiello  5 , Adam B Yanke  6 , Brian J Cole  6
Affiliations

Return to Sport following Isolated Lateral Opening Wedge Distal Femoral Osteotomy

Avinesh Agarwalla et al. Cartilage. 2021 Dec.

Abstract

Purpose. The aims of this study were to (1) examine the timeline of return to sport (RTS) following isolated lateral opening wedge distal femoral osteotomy (DFO), (2) evaluate the degree of participation on RTS, and (3) identify risk factors for failure to RTS. Methods. Nineteen consecutive patients undergoing isolated lateral opening wedge DFO were reviewed retrospectively at a minimum of 2 years postoperatively. Patients completed a sports questionnaire, visual analogue scale for pain (VAS-Pain), Single Assessment Numerical Evaluation (SANE), and a satisfaction questionnaire. Results. Seventeen patents (89.5%; age 32.1 ± 10.1 years; gender 9 males, 52.9%) were contacted at 7.3 ± 4.4 years (range 2.0-13.8 years). Twelve patients (70.6%) resumed playing ≥1 sport at an average time of 9.5 ± 3.3 months (range 3-12 months). Of these 12 patients, 6 returned to a lower level of participation (50.0%). Seven patients (41.2%) had returned to the operating room for further surgery, which included removal of hardware (5.9%) and total knee arthroplasty (5.9%). The average VAS-Pain, SANE, and Marx scores were 3.4 ± 2.6 (range 0-8), 56.2 ± 18.7 (range 20-85), and 5.0 ± 5.3 (range 0-16), respectively. Fourteen patients (82.4%) were at least somewhat satisfied with their procedure. Conclusion. In patients with isolated lateral compartment osteoarthritis and valgus deformity, lateral opening wedge DFO allows 70.6% of patients to RTS by 9.5 ± 3.3 months. However, most patients may be unable to return to their presymptomatic level of function. Patient expectations regarding RTS can be appropriately managed with adequate preoperative patient education. Level of Evidence. IV, case series.

Keywords: articular cartilage; diagnosis; joint involved; knee; osteoarthritis; osteotomy; procedures; tissue.

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Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Direct rate of return to sport following isolated distal femoral osteotomy.
See this image and copyright information in PMC

References

    1. Cross M, Smith E, Hoy D, Nolte S, Ackerman I, Fransen M, et al. The global burden of hip and knee osteoarthritis: estimates from the Global Burden of Disease 2010 Study. Ann Rheum Dis. 2014;73(7):1323-30. doi: 10.1136/annrheumdis-2013-204763 - DOI - PubMed
    1. Kurtz SM, Lau E, Ong K, Zhao K, Kelly M, Bozic KJ. Future young patient demand for primary and revision joint replacement: national projections from 2010 to 2030. Clin Orthop Relat Res. 2009;467(10):2606-12. doi: 10.1007/s11999-009-0834-6 - DOI - PMC - PubMed
    1. Arnold MP, Hirschmann MT, Verdonk PCM. See the whole picture: knee preserving therapy needs more than surface repair. Knee Surg Sports Traumatol Arthrosc. 2012;20(2):195-6. doi: 10.1007/s00167-011-1733-4 - DOI - PubMed
    1. Roessler PP, Getgood A. The role of osteotomy in chronic valgus instability and hyperextension valgus thrust (medial closing wedge distal femoral varus osteotomy and lateral opening wedge high tibial osteotomy). Clin Sports Med. 2019;38(3):435-49. doi: 10.1016/j.csm.2019.02.012 - DOI - PubMed
    1. Pilone C, Rosso F, Cottino U, Rossi R, Bonasia DE. Lateral opening wedge distal femoral osteotomy for lateral compartment arthrosis/overload. Clin Sports Med. 2019;38(3):351-9. doi: 10.1016/j.csm.2019.02.004 - DOI - PubMed